Task shifting - Ghana's community mental health workers' experiences and perceptions of their roles and scope of practice

Global Health Action

Volumn 8, Issue 1, 2015, Pages

  Agyapong, Vincent I O ^a,b,c   Osei, Akwasi ^d,e   Farren, Conor K ^c   McAuliffe, Eilish ^f  

^a UNIVERSITY OF ALBERTA   (Canada)

^b KWAME NKRUMAH UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Ghana)

^c TRINITY COLLEGE DUBLIN   (Ireland)

^d Ghana Mental Health Authority   (Ghana)

^e Accra Military Hospital   (Ghana)

^f UNIVERSITY COLLEGE DUBLIN   (Ireland)

Author keywords

Community mental health workers; Mental health; Role; Scope of work

Indexed keywords

CROSS-SECTIONAL STUDY; GHANA; HEALTH; HEALTH PERSONNEL ATTITUDE; HUMAN; MANPOWER; MENTAL DISORDERS; MENTAL HEALTH SERVICE; NURSING; PARAMEDICAL PERSONNEL; PRESCRIPTION; PROFESSIONAL COMPETENCE;

ALLIED HEALTH PERSONNEL; ATTITUDE OF HEALTH PERSONNEL; COMMUNITY MENTAL HEALTH SERVICES; CROSS-SECTIONAL STUDIES; DRUG PRESCRIPTIONS; GHANA; GLOBAL HEALTH; HUMANS; MENTAL DISORDERS; PROFESSIONAL COMPETENCE;

EID: 84949009683     PISSN: None     EISSN: 16549880     Source Type: Journal    
DOI: 10.3402/gha.v8.28955     Document Type: Article

References (32)

1. WHO (2008). The world health report 2008: primary health care now more than ever. Geneva, Switzerland: World Health Organization.
2. Lekoubou A, Awah P, Fezeu L, Sobngwi E, Kengne AP. Hypertension, diabetes mellitus and task shifting in their management in sub-Saharan Africa. Int J Environ Res Public Health 2010; 7: 353-63.
3. Anyangwe SC, Mtonga C, Chirwa B. Health inequities, environmental insecurity and the attainment of the millennium development goals in sub-Saharan Africa: the case study of Zambia. Int J Environ Res Public Health 2006; 3: 217-27.
4. World Health Organization (2008). Integrating mental health into primary care: a global perspective. Geneva: World Health Organization.
5. Thara R, Padmavati R, Srinivasan TN. Focus on psychiatry in India. Br J Psychiatry 2004; 184: 366-73.
6. Saraceno B, van Ommeren M, Batniji R, Cohen A, Gureje O, Mahoney J, et al. Barriers to improvement of mental health services in low-income and middle-income countries. Lancet 2007; 370: 1164-74.
7. Saxena S, Thornicroft G, Knapp M, Whiteford H. Resources for mental health: scarcity, inequity, and inefficiency. Lancet 2007; 370: 878-89.
8. Bruckner TA, Scheffler RM, Shen G, Yoon J, Chisholm D, Morris J, et al. The mental health workforce gap in low- and middle-income countries: a needs-based approach. Bull World Health Organ 2011; 89: 184-94.
9. Fulton BD, Scheffler RM, Sparkes SP, Auh EY, Vujicic M, Soucat A. Health workforce skill mix and task shifting in low income countries: a review of recent evidence. Hum Resour Health 2011; 9: 1.
10. Raviola G, Eustache E, Oswald C, Belkin GS. Mental health response in Haiti in the aftermath of the 2010 earthquake: a case study for building long-term solutions. Harv Rev Psychiatry 2012; 20: 68-77.
11. Naik SK, Pattanayak S, Gupta CS, Pattanayak RD. Helpseeking behaviors among caregivers of schizophrenia and other psychotic patients: a hospital-based study in two geographically and culturally distinct Indian cities. Indian J Psychol Med 2012; 34: 338-45.
12. Fridgen GJ, Aston J, Gschwandtner U, PfluegerM, Zimmermann R, Studerus E, et al. Help-seeking and pathways to care in the early stages of psychosis. Soc Psychiatry Psychiatr Epidemiol 2013; 48: 1033-43.
13. Chen MT, Li CY, Lin HC, Shen WW, Hsieh PC, Chen CC. Health-seeking behavior, alternative medicine, and quality of life in Taiwanese panic disorder patients. Int J Psychiatry Clin Pract 2013; 17: 206-15.
14. Girma E, Tesfaye M. Patterns of treatment seeking behavior for mental illnesses in Southwest Ethiopia: a hospital based study. BMC Psychiatry 2011; 11: 138.
15. Becker AE, Kleinman A. An agenda for closing resource gaps in global mental health: innovation, capacity building, and partnerships. Harv Rev Psychiatry 2012; 20: 3-5.
16. Jack H, Canavan M, Ofori-Atta A, Taylor L, Bradley E. Recruitment and retention of mental health workers in Ghana. PLoS One 2013; 8: e57940.
17. WHO (2007). Ghana country summary. Mental Health Improvement for Nations' Development (MIND). Geneva, Switzerland: Department of Mental Health and Substance Abuse, World Health Organization.
18. Saxena S, Sharan P, Garrido M, Saraceno B. World Health Organization's Mental Health Atlas 2005: implications for policy development. World Psychiatry 2006; 5: 179-84.
19. WHO (2007). Mental health improvements for nations development: Ghana-a very progressive mental health law. Geneva: Department of Mental Health and Substance Abuse, WHO.
20. Mental Health and Poverty Project. The mental health and poverty project: mental health policy development and implementation in four African countries. Annual report. 2008. Available from: http://r4d.dfid.gov.uk/PDF/Outputs/MentalHealth_ RPC/HD6MHAPPAnnualReport07-08R4DVERSION.pdf [cited 1 March 2015].
21. World Bank Group (2012). Total population. Washington, DC: World Bank Group.
22. Roberts M, Macfarlane S, Ofori E, Okyere E. Helping to improve mental health services in Ghana. 2008. Available from: http://www.thekintampoproject.org/storage/Summary report june 08 Accra consultation.pdf [cited 7 December 2013].
23. Adjase ET, Ofori E, Okyere E, Ashitey NA, Roberts M. Kintampo Rural Health Training School, Curriculum for degree in clinical psychiatry. 2010. Available from: http://mhinnovation. net/sites/default/files/downloads/innovation/tools/Curriculum-for- Degree-in-Clinical-Psychiatry-.pdf [cited 1 March 2015].
24. The Kintampo Project. Clinical Psychiatric Officer-The curriculum and related documents. 2013. Available from: http://www.thekintampoproject.org/medical-assistant-psychiatry [cited 7 October 2014].
25. Roberts M. The Kintampo project-milstones. 2013. Available from: http://www.thekintampoproject.org/milestones/[cited 7 October 2014].
26. Adjase ET, Ofori E, Okyere E, Ashitey NA, Roberts M. Kintampo Rural Health Training School, Curriculum for community mental health officer. 2010. Available from: http://mhinnovation.net/sites/default/files/downloads/innovation/tools/Curriculum-for-Community-Mental-Health-Officer1.pdf [cited 1 March 2015].
27. WHO (2011). WHO-AIMS report on mental health systems in Ghana. Geneva, Switzerland: WHO.
28. WHO (2011). WHO mental health atlas. Geneva: World Health Organization.
29. Kakuma R, Minas H, van Ginneken N, Dal Poz MR, Desiraju K, Morris JE, et al. Human resources for mental health care: current situation and strategies for action. Lancet 2011; 378: 1654-63.
30. Hanlon C, Luitel NP, Kathree T, Murhar V, Shrivasta S, Medhin G, et al. Challenges and opportunities for implementing integrated mental health care: a district level situation analysis from five low- and middle-income countries. PLoS One 2014; 9: e88437.
31. Dambisya YM, Matinhure S. Policy and programmatic implications of task shifting in Uganda: a case study. BMC Health Serv Res 2012; 12: 61.
32. Chu K, Rosseel P, Gielis P, Ford N. Surgical task shifting in sub- Saharan Africa. PLoS Med 2009; 6: e1000078.